Ukuba une-ankylosing spondylitis (AS), eyona ngxaki inkulu kukulawula esi sifo ngandlela thile, ukunciphisa iintlungu, nokuqhubeka nemisebenzi yakho yemihla ngemihla. Ngelixa ulwa nezo ngxaki zomzimba, ungaziva uxinezelekile kukufika ngequbuliso kweebhili ezinkulu zonyango kunye neentlawulo zikagqirha. Ngoko ke ngaphandle kokuchitha ixesha, masithethe ngeendleko zesi sifo kunye nendlela yokuzilawula.
Okokuqala, yintoni i-ankylosing spondylitis (AS)?
Ngamafutshane, i-ankylosing spondylitis luhlobo lwe-arthritis. Ichaphazela kakhulu umqolo wakho. Ekuhambeni kwexesha, esi sifo sinokubangela ukuba amathambo akho adibane. Oku kunokubangela ukuba umqolo wakho uphulukane nokuguquguquka kwawo kwaye ugobe phambili.
Ukongeza koku, unokufumana iintlungu kunye nokungonwabi kwiimbambo zakho, amalungu esinqe, kunye namalungu amagxa. Ngamanye amaxesha, ukudumba okubuhlungu kwamehlo nakho kunokubakho.
Eyona nto ibalulekileyo kukuba akukho nyango lwesi sifo okwangoku . Nangona kunjalo, ngamayeza afanelekileyo kunye nonyango lomzimba, iimpawu zinokulawulwa kwaye ukuqhubela phambili kwesi sifo kunokulawulwa kakhulu. Utyando lufuneka kuphela xa kukho umonakalo omkhulu kumalungu, kwaye oko kunqabile kakhulu.
Zithini iindleko zonyango?
Ngexesha lokunyuka kwe-AS, iindleko zakho zonyango ziyanda. Ezi ndleko zinokwahlulwa zibe ziindidi eziphambili ezahlukeneyo.
1. Ukutyelela iiOfisi rhoqo
Kule meko, kunokwenzeka ukuba ubonane nogqirha wamathambo . Bahlala bekuxilonga baze baxoxe ngesicwangciso sakho sonyango malunga neenyanga ezi-3. Nangona kunjalo, ngamaxesha entlungu eyandayo kunye nokungakhululeki, kunokufuneka ubonane nogqirha rhoqo. Njengoko usazi, nganye kwezi ngcebiso ibiza imali.
2. Iiseshoni zonyango lomzimba
Unyango lomzimba luyinxalenye ebaluleke kakhulu kwisicwangciso sonyango lwe-AS. Ingcali yonyango lomzimba elungileyo inokukunceda ukunciphisa iintlungu zakho, iphucule amandla akho kunye nokuguquguquka, kwaye ikufundise imithambo onokuyenza ekhaya.
Nangona kunjalo, olu nyango lubiza kakhulu. Ekubeni kufuneka iiseshoni ezininzi, zinokudityaniswa ngokuhamba kwexesha. Ukuba une-inshorensi yezempilo, kulungile ukujonga kwangaphambili ukuze ubone ukuba unyango lomzimba lugutyungelwe na.
Iintlobo zamayeza asetyenziselwa unyango kunye neendleko zawo
Kukho iintlobo ezahlukeneyo zamayeza asetyenziselwa ukunyanga i-AS. Ugqirha wakho uya kukunika la mayeza ngokusekelwe kwimeko yakho. Kunokubakho umahluko omkhulu phakathi kwala mayeza kunye neendleko zawo.
| Uhlobo lweziyobisi | Kutheni kufuneka usebenzise? | Imizekelo |
|---|---|---|
| Iipilisi zokubulala iintlungu (ii-NSAID) | Ukulawula iintlungu kunye nokudumba kwasekuqaleni. Ezi azibizi kakhulu. | I-Ibuprofen, iNaproxen, i-Indomethacin |
| IiDMARD (Amayeza Okunciphisa Izifo Aguqula Amathambo) | Ukunciphisa ukudumba kwamalungu kunye nentlungu xa isifo kunzima ukusilawula nge-NSAIDs zodwa. | I-Sulfasalazine, iMethotrexate |
| Amayeza ebhayoloji (iBiologics) - Izithinteli ze-TNF - Izithinteli ze-IL-17 | Amayeza anamandla kakhulu asetyenziswa kwiimeko ezinzima zesifo ezinzima ukulawula. Anciphisa iintlungu, ukuqina, kunye nokudumba. La abiza kakhulu. | Adalimumab (Humira), Etanercept (Enbrel), Infliximab (Remicade), Secukinumab (Cosentyx) |
| Izithinteli zeJAK | Olunye udidi olunamandla lwamayeza asetyenziswa kwizigulana ezingaphenduliyo kwezinye izinto eziphilayo. Nazo zibiza kakhulu. | I-Tofacitinib (Xeljanz) |
Njengoko ubona, nangona amayeza okuqala okuthomalalisa iintlungu engabizi kangako, amayeza anikwayo njengoko isifo siqhubeka kuba nzima ukuwalawula, anjenge-biologics kunye ne-JAK inhibitors, anokuba abiza kakhulu . La mayeza eza njengeenaliti okanye iipilisi, kwaye ungagqibela uhlawula imali eninzi ngedosi nganye.
Ngoko ke, uzilawula njani ezi ndleko?
Esi sifo sinokukudinisa ngokwasemzimbeni, ngokwengqondo, nangokwezimali. Kodwa ungakhathazeki. Ungawunciphisa lo mthwalo ngokucinga ngawo kwangaphambili kwaye uthathe inyathelo.
- Thetha ngokukhululekileyo nogqirha wakho: Eli lelona nyathelo libalulekileyo nelokuqala . Thetha nogqirha wakho malunga noloyiko lwakho kunye nokungonwabi kwakho malunga neendleko zonyango ngaphandle kokuthandabuza. Uya kukwazi ukukunika iingcebiso malunga nonyango oluhambelanayo nolufanelekileyo kwaye olungabizi kakhulu kuwe.
- Qonda umahluko phakathi kwecandelo likarhulumente nelabucala: Enye yezona nzuzo zinkulu esinazo eSri Lanka yinkqubo yezibhedlele zikarhulumente. Buza ugqirha wakho ukuba ungafumana amayeza abiza kakhulu ngezibhedlele zikarhulumente. Ukuba ufumana la mayeza kwicandelo labucala, kukwangumbono olungileyo ukuthelekisa amaxabiso kwiikhemesti ezahlukeneyo.
- Jonga ukhuseleko lwakho lwe-inshorensi: Ukuba une-inshorensi yezempilo yabucala, jonga ukuba igubungela na idinga lezonyango, unyango lomzimba, kunye namayeza anxulumene nale meko, kwaye ifikelela kwinqanaba elingakanani.
- Khangela amaqela enkxaso: Kusenokubakho imibutho okanye amaqela enkxaso aqanjwe ngabantu abanezifo ezinjalo ezihlala ixesha elide. Ungafumana ulwazi kunye nenkxaso yeemvakalelo kwiindawo ezinjalo.
Umyalezo Wokuya Ekhaya
- I-Ankylosing spondylitis (AS) yimeko yexesha elide efuna unyango oluqhubekayo.
- Ezi ndleko ziquka ukuya kugqirha, unyango lomzimba, kunye namayeza abiza kakhulu afana ne-biologics.
- Eyona nto ibalulekileyo kukuthetha ngokukhululekileyo nangokunyaniseka nengcali yakho malunga nesicwangciso sakho sonyango kunye neendleko ezinxulumene naso.
- Kuphephe ukulibazisa unyango ngenxa yeendleko. Endaweni yoko, cwangcisa ukujongana nale ngxaki ngokukhawuleza.
- Phanda ngeenkonzo ezikhoyo kwizibhedlele zikarhulumente kunye neenzuzo zeinshurensi ukuba unayo. Khumbula, awuwedwa kolu hambo.
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